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Morbidity and mortality among heart failure patients in Galicia, N.W. Spain: the GALICAP Study

Fernando Otero-Raviña1, Lilian Grigorian-Shamagian, Luis Fransi-Galiana

  • 1Sección de Coordinación Asistencial, SERGAS, Santiago de Compostela, Spain.

International Journal of Cardiology
|July 12, 2008
PubMed

Insights

Heart failure (HF) patients in Galicia face high mortality and morbidity. Previous cardiovascular hospitalizations are the strongest predictor of adverse outcomes in these heart failure patients.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Heart failure (HF) poses a significant burden on healthcare systems globally.
  • Understanding regional variations in HF outcomes is crucial for targeted interventions.

Purpose of the Study:

  • To characterize the current morbidity and mortality of heart failure (HF) outpatients in Galicia, Spain.
  • To identify the main determinants of adverse outcomes in this population.

Main Methods:

  • A prospective, multicenter study was conducted involving 1195 heart failure (HF) outpatients.
  • Data were collected by 149 primary care physicians across Galicia.
  • Survival rates were analyzed using Cox's proportional hazard model over a mean follow-up of 6.5 months.

Main Results:

  • The average patient age was 76 years, with 82% having a history of arterial hypertension.
  • Mortality was 8% and hospital readmission was 29% during follow-up, with most events being cardiac-related.
  • Independent predictors of cardiovascular death and/or readmission included ischaemic cardiopathy, stroke, oedema, anaemia, deteriorated systolic function, and prior cardiovascular admissions.

Conclusions:

  • Morbidity and mortality rates remain high among heart failure (HF) patients in Galicia.
  • Previous hospitalization for cardiovascular reasons is the most significant predictor of poor outcomes in HF patients.
Abstract

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